@layout("/common/_container.html",{bg:"bg-white",js:["/assets/common/js/prePolicy.js"]}){
<form id="prePolicyForm" lay-filter="prePolicyForm" class="layui-form model-form">
    <input type="hidden" name="prePolicyUrl1" id="prePolicyUrl1">
    <input type="hidden" name="prePolicyUrl2" id="prePolicyUrl2">
    <input type="hidden" name="id" id="id" value="${id}">
    <input type="hidden" name="url" id="url" value="${url}">
    <div class="layui-form-item">
        <label class="layui-form-label">投保单号:</label>
        <div class="layui-input-block" >
            <input name="prePolicyNo" id="prePolicyNo" type="text" class="layui-input" lay-verify="required"/>
        </div>
    </div>
    <div class="layui-form-item">
        <label class="layui-form-label">选择投保单1:</label>
        <div class="layui-upload">
            <button type="button" class="layui-btn" id="test3">选择第一页</button>
            <button type="button" class="layui-btn layui-btn-danger layui-btn-radius" id="success1" style="display: none">上传成功</button>
        </div>
    </div>
    <div class="layui-form-item">
        <label class="layui-form-label">选择投保单2:</label>
        <div class="layui-upload">
            <button type="button" class="layui-btn" id="test4">选择第二页</button>
            <button type="button" class="layui-btn layui-btn-danger layui-btn-radius" id="success2" style="display: none">上传成功</button>
        </div>
    </div>

    <div class="layui-form-item text-right">
        <a class="layui-btn layui-btn-primary" type="button" ew-event="closeDialog">取消</a>
        <a class="layui-btn" lay-filter="btnSubmit" lay-submit>保存</a>
    </div>
</form>
@}